{"id":1716,"date":"2025-06-18T17:24:45","date_gmt":"2025-06-18T14:24:45","guid":{"rendered":"https:\/\/www.humanremodelling.gr\/?p=1716"},"modified":"2025-07-30T14:13:12","modified_gmt":"2025-07-30T11:13:12","slug":"stadiaki-diorthosi-raivotitas-gonatos-kai-plagias-astatheias-se-astheni-me-achondroplasia-pou-ypovlithike-se-epimikynsi-kato-akron-me-endomyelika-karfia","status":"publish","type":"post","link":"https:\/\/www.humanremodelling.gr\/en\/stadiaki-diorthosi-raivotitas-gonatos-kai-plagias-astatheias-se-astheni-me-achondroplasia-pou-ypovlithike-se-epimikynsi-kato-akron-me-endomyelika-karfia\/","title":{"rendered":"Gradual correction of knee varus and lateral instability in a patient with achondroplasia who underwent lower limb lengthening with intramedullary nails"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Advice on proper timing and prioritization of procedures, from the National Library of Medicine by Ms. Drakou and her colleagues.<\/h2>\n\n\n\n<p>We present the case of a fifteen-year-old female with achondroplasia who requested femoral lengthening with intramedullary nails. The patient had already undergone double tibial lengthening at age eleven and presented with:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Varus deformity of the right lower limb<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lateral thrust of the right knee<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Valgus deformity of the left lower limb<\/li>\n<\/ul>\n\n\n\n<p>We performed a deformity analysis based on mechanical axis measurements and proceeded with a gradual surgical plan.<\/p>\n\n\n\n<p><strong>Clinical and technical points:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In adolescence with achondroplasia, correction of bony deformities must take into account the ongoing growth of the fibula.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lateral knee instability was corrected by gradual distalization of the fibular head using Ilizarov-type external fixation, with the amount of distalization determined clinically.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tibial lengthening and femoral valgus accentuate laxity of the lateral collateral ligament (LCL).<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In patients with ACH, tibial lengthening and, where necessary, distal femoral valgus correction should precede LCL tightening.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Femoral lengthening should be performed last.<\/li>\n<\/ul>\n\n\n\n<p><strong>You can read the full article <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8487189\/\" target=\"_blank\" rel=\"noreferrer noopener\">here<\/a><\/strong><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Advice on proper timing and prioritization of procedures, from the National Library of Medicine by Ms. Drakou and her colleagues. We present the case of &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Gradual correction of knee varus and lateral instability in a patient with achondroplasia who underwent lower limb lengthening with intramedullary nails\" class=\"read-more button\" href=\"https:\/\/www.humanremodelling.gr\/en\/stadiaki-diorthosi-raivotitas-gonatos-kai-plagias-astatheias-se-astheni-me-achondroplasia-pou-ypovlithike-se-epimikynsi-kato-akron-me-endomyelika-karfia\/#more-1716\" aria-label=\"Read more about Gradual correction of knee varus and lateral instability in a patient with achondroplasia who underwent lower limb lengthening with intramedullary nails\">READ MORE<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[33],"tags":[],"class_list":["post-1716","post","type-post","status-publish","format-standard","hentry","category-uncategorized","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-33"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gradual correction of knee varus and lateral instability in a patient with achondroplasia who underwent lower limb lengthening with intramedullary nails - HUMAN REMODELLING MEDICAL<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanremodelling.gr\/en\/stadiaki-diorthosi-raivotitas-gonatos-kai-plagias-astatheias-se-astheni-me-achondroplasia-pou-ypovlithike-se-epimikynsi-kato-akron-me-endomyelika-karfia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gradual correction of knee varus and lateral instability in a patient with achondroplasia who underwent lower limb lengthening with intramedullary nails - HUMAN REMODELLING MEDICAL\" \/>\n<meta property=\"og:description\" content=\"Advice on proper timing and prioritization of procedures, from the National Library of Medicine by Ms. Drakou and her colleagues. 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